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Objectives: To determine if a new measure of organizational readiness for change reflects site and staff role differences when implementing a screening, brief intervention, and referral to treatment (SBIRT) program for alcohol and drug misuse in a healthcare organization.

Results: There were statistically significant differences between the EC and CHP sites on Need for External Guidance, Pressure to Change, Organizational Readiness to Change, Workgroup Functioning, Work Environment, and Autonomy Support. Clinical and administrative staff differed significantly on Need for External Guidance, Pressure to Change, and Organizational Readiness to Change. When change agents used the MORC data to inform their implementation process, the results were positive.

Conclusions: Among CHP sites, there were differences in organizational functioning, which were consistent with CHP implementation outcomes. The MORC scales can help planners and change agents understand their organization’s current readiness to integrate screening, brief intervention, and referral to treatment services into their medical setting.

From Addiction Research Institute (TMB, RTS, MM-S), School of Social Work, University of Texas at Austin, Austin; Department of Internal Medicine (KM) and School of Allied Health Sciences (VW), Baylor College of Medicine, Houston, Texas; and Department of Social Work (SK), College of Health and Human Services, University of North Carolina—Charlotte, Charlotte, North Carolina.